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天津医科大学总医院药剂科,天津 300052
Published:30 July 2023,
Received:22 December 2022,
Revised:03 July 2023,
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韩滨,郝晨伟,董敏等.桃红四物汤改善紫杉醇导致的大鼠外周神经损伤的机制研究 Δ[J].中国药房,2023,34(14):1707-1711.
HAN Bin,HAO Chenwei,DONG Min,et al.Study on the mechanism of Taohong siwu decoction improving peripheral nerve injury induced by paclitaxel in rats[J].ZHONGGUO YAOFANG,2023,34(14):1707-1711.
韩滨,郝晨伟,董敏等.桃红四物汤改善紫杉醇导致的大鼠外周神经损伤的机制研究 Δ[J].中国药房,2023,34(14):1707-1711. DOI: 10.6039/j.issn.1001-0408.2023.14.09.
HAN Bin,HAO Chenwei,DONG Min,et al.Study on the mechanism of Taohong siwu decoction improving peripheral nerve injury induced by paclitaxel in rats[J].ZHONGGUO YAOFANG,2023,34(14):1707-1711. DOI: 10.6039/j.issn.1001-0408.2023.14.09.
目的
2
探索桃红四物汤(THD)改善紫杉醇(PTX)导致的大鼠外周神经损伤的作用机制。
方法
2
考察THD(1 g/mL含药血清)、PTX(0.1 μmol/L)单用和联用下对施万细胞系RSC96细胞增殖率以及自噬溶酶体关联膜蛋白2(LAMP2)、自噬标记蛋白酵母Atg6同源物(Beclin1)、磷脂酰肌醇3-激酶(PI3K)、蛋白激酶B(Akt)、哺乳动物雷帕霉素靶蛋白(mTOR)表达的影响,并与自噬促进剂雷帕霉素和自噬抑制剂3-甲基腺嘌呤(3-MA)进行比较。考察THD高、低剂量对PTX导致的外周神经损伤模型大鼠坐骨神经中髓鞘碱性蛋白质(MBP)、鞘磷脂蛋白(MPZ)、S100钙结合蛋白(S100)、LAMP2、Beclin1、PI3K、Akt、mTOR表达的影响。
结果
2
THD+PTX作用下RSC96细胞增殖率显著高于PTX单用;THD+PTX、THD+3-MA作用下RSC96细胞中LAMP2、Beclin1蛋白的表达显著高于PTX、3-MA单用,PI3K、Akt、mTOR蛋白的表达显著低于PTX、3-MA单用(
P
<0.05)。与模型组相比,THD高、低剂量组大鼠坐骨神经中MBP、MPZ、S100、LAMP2、Beclin1蛋白表达均显著升高,PI3K、Akt、mTOR蛋白表达均显著降低(
P
<0.05)。
结论
2
THD可能通过抑制PI3K/Akt/mTOR信号通路来激活施万细胞自噬,从而改善PTX导致的外周神经损伤。
OBJECTIVE
2
To explore the mechanism of Taohong siwu decoction (THD) improving peripheral nerve injury induced by paclitaxel (PTX) in rats.
METHODS
2
The effects of THD (1 g/mL drug-containing serum) and PTX (0.1 μmol/L) alone or in combination on the proliferation rate of Schwann cells line RSC96 as well as the expressions of lysosomal-associated membrane protein-2 (LAMP2), autophagy marker protein yeast Atg 6 homolog (Beclin1), phosphatidylinositol 3-kinase (PI3K), protein kinase B (Akt), and mammalian target of rapamycin (mTOR) were investigated, and then compared with autophagy promoter rapamycin and autophagy inhibitor 3-methyladenine (3-MA). The effects of high-dose and low-dose THD on the expressions of myelin basic protein (MBP) and myelin protein zero (MPZ), S100 calcium-binding protein (S100), LAMP2, Beclin1, PI3K, Akt and mTOR were tested at the end of the experiment.
RESULTS
2
After treatment of THD+PTX, the proliferation rate of RSC96 cells was significantly higher than those treated with PTX alone. After treatment of THD+PTX or THD+3-MA, the protein expressions of LAMP2 and Beclin1 in RSC96 cells were significantly higher than those treated with PTX or 3-MA alone, while the protein expressions of PI3K, Akt and mTOR were significantly lower than those treated with PTX or 3-MA alone (
P
<0.05). Compared with model group, the protein expressions of MBP, MPZ, S100, LAMP2 and Beclin1 in sciatic nerve of rats were increased significantly in THD high-dose and low-dose groups, while the protein expressions of PI3K, Akt and mTOR were significantly decreased (
P
<0.05).
CONCLUSIONS
2
THD may activate Schwann cell autophagy by inhibiting the PI3K/Akt/mTOR signaling pathway, thereby improving peripheral nerve injury caused by PTX.
桃红四物汤紫杉醇外周神经损伤自噬大鼠施万细胞
paclitaxelperipheral nerve injuryautophagyratSchwann cells
韩滨,刘骁,孙菁,等. 紫杉醇胶束与紫杉醇注射剂在荷瘤裸鼠体内的组织分布[J]. 中国新药与临床杂志,2011,30(8):603-608.
周国亮,韩滨,宋翼升,等. 注射用紫杉醇胶束体内抗肿瘤作用[J]. 中国新药与临床杂志,2014,33(8):582-587.
韩滨,李正翔. 紫杉醇致外周神经毒性的研究现状与进展[J]. 中国新药与临床杂志,2018,37(7):375-379.
HAN Y Q,SMITH M T. Pathobiology of cancer chemo-therapy-induced peripheral neuropathy(CIPN)[J]. Front Pharmacol,2013,4:156.
MACK T G,REINER M,BEIROWSKI B,et al. Wallerian degeneration of injured axons and synapses is delayed by a Ube4b/Nmnat chimeric gene[J]. Nat Neurosci,2001,4(12):1199-1206.
SCHEIB J,HÖKE A. Advances in peripheral nerve rege-neration[J]. Nat Rev Neurol,2013,9(12):668-676.
韩滨,董敏,李正翔. 施万细胞在修复外周神经损伤中作用机制的研究进展[J]. 国际神经病学神经外科学杂志,2021,48(3):289-293.
国家中医药管理局.国家中医药管理局关于发布《古代经典名方目录(第一批)》的通知[EB/OL].(2018-04-16)[2022-12-20]. http://kjs.satcm.gov.cn/zhengcewenjian/2018-04-16/7107.htmlhttp://kjs.satcm.gov.cn/zhengcewenjian/2018-04-16/7107.html.
WANG X Z,WANG T,WANG Y Z,et al. Research pro-gress on classical traditional Chinese medicine Taohong Siwu Decoction in the treatment of coronary heart disease[J]. Biomedecine Pharmacother,2022,152:113249.
CHEN G M,XIE Y Y,LIU Y Y,et al. Taohong Siwu Decoction for femoral head necrosis:a protocol for syste-matic review[J]. Medicine,2020,99(13):e19368.
JO H G,LEE D H. Oral administration of East Asian herbal medicine for peripheral neuropathy:a systematic review and meta-analysis with association rule analysis to identify core herb combinations[J]. Pharmaceuticals,2021,14(11):1202.
吴莹,田薇莉. 中药熏洗温经活血通络方治疗恶性肿瘤化疗后肢体麻木的效果观察[J]. 中西医结合护理,2021,7(6):22-25.
韩滨,郝晨伟,董敏,等. 桃红四物汤对紫杉醇所致大鼠外周神经损伤的保护作用及其机制[J]. 解放军医学杂志,2023,48(5):570-576.
万楷杨,李秋芳. 桃红四物汤对脑缺血再灌注大鼠海马及皮质的影响[J]. 新中医,2021,53(1):11-16.
GREENLEE H,DUPONT-REYES M J,BALNEAVES L G,et al. Clinical practice guidelines on the evidence-based use of integrative therapies during and after breast cancer treatment[J]. CA Cancer J Clin,2017,67(3):194-232.
汤效,王桂华,王伟明. 分析桃红四物汤加减联合化疗治疗气滞血瘀型肺癌的临床疗效[J]. 中国实用医药,2017,12(19):118-120.
张毓升. 桃红四物汤加减联合化疗治疗气滞血瘀型肺癌[J]. 中国实验方剂学杂志,2013,19(7):310-314.
赵安斌,赵淑霞,王芳芳. 桃红四物汤加减方联合化疗治疗卵巢癌疗效观察[J]. 医学信息,2016,29(17):333-334.
傅秀芳. 桃红四物汤加味中药熏洗防治化疗后外周神经毒性的观察及护理[J]. 护理实践与研究,2017,14(1):141-143.
李珍,龚建安,李燕辉,等. 桃红四物汤防治奥沙利铂所致神经毒性37例临床观察[J]. 新中医,2013,45(6):107-108.
ZHAO C L,CHEN J,YU B,et al. Effect of modified Taohongsiwu decoction on patients with chemotherapy-induced hand-foot syndrome[J]. J Tradit Chin Med,2014,34(1):10-14.
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